Health Navigator (6561)

THE SALVATION ARMY A GEORGIA CORP•Miami, FL

52d•Hybrid

About The Position

This position is responsible for providing subject matter expertise in evaluating, supporting, and coordinating healthcare and care needs. The Health Navigator assists clients in gaining access to healthcare through community resources, supports healthcare plans by identifying and resolving barriers to care, and provides education on OnMEd Care Station Services and other related wellness topics. It is important to note that Health Care Navigators do not provide direct health care services, are not healthcare providers, and do not deliver direct patient care. They also do not provide mental health counseling or make treatment recommendations.

Requirements

Bachelor’s degree in social work or health care administration, or a related field with a LCSW, Master’s level social worker or equivalent education and experience preferred.
At least one year’s experience in performing client outreach, care coordination, and navigation in community health, social services, public health, or related setting.
Experience providing patient/resident education and supporting telehealth or clinic workflows preferred.
OR An equivalent combination of education and experience to perform the job.
Certified Community Health Worker (Community Health Worker Certification)
Valid State Driver’s License

Nice To Haves

Experience providing patient/resident education and supporting telehealth or clinic workflows preferred.

Responsibilities

Provides comprehensive case management and care coordination across episodes of care.
Serves as a health coach by proactively supporting the patient.
Coordinates follow-up actions and return visits.
Explains OnMEd Care Station services.
Conducts assessments of the patient in collaboration with the interdisciplinary treatment team to understand the patient’s situation, potential barriers to care, the causes, and the impact of such barriers on the patient’s ability to access and maintain health care services.
Highlights the patient’s strengths, limitations, risk factors, and internal/external support and service needs to optimize the patient’s ability to access and maintain health care services.
Completes the initial assessment as specified by policy (may be accomplished through virtual technology).
Conducts home visits or community-based visits with patients when appropriate to assess barriers to care, provide education, and support access to healthcare services and community resources.
Assists patients in accessing community resources, benefits, and supportive services including medical appointments, social services, housing support, and community programs designed to enhance health and stability.
Works closely with patients to assist them in communicating their preferences in care and personal health-related goals.
Participates in the development of the patient’s care plan with primary emphasis on community services, outreach, and referrals needed for the patient.
Regularly reviews care plan goals with the patient.
Conducts regular non-clinical barrier assessments.
Provides resources and referrals needed to support adherence.
Evaluates the effectiveness of the resources and referrals provided and makes appropriate modifications to ensure the provision of high-quality care and interventions.
Monitors patient’s progress and maintains comprehensive documentation.
Participates in expanding the knowledge related to health care navigators.
Identifies systemic barriers within the organization, communicates with organizational leadership about these barriers, and works collaboratively to find viable solutions.
Assists in developing policy, procedures, and practice guidelines related to the specialty program using knowledge gained from research or best practices.
Develops relationships with community leaders, Center of Hope staff, and other referral networks.
Assists in identifying health education needs and provides education services and materials that match the health literacy level of the patient.
Provides education to patients regarding health conditions, medication adherence, preventative health practices, and healthy lifestyle choices to improve overall wellness and support care plan goals.
Provides ongoing education support as needed to patients.
Assists in identifying community resources to prevent disease and promote self-care.
Ensures the best possible care and collaborates with other staff involved in providing care.
Adheres to ethical principles about confidentiality, informed consent, compliance with relevant laws, and agency policies (e.g., critical incident reporting, HIPPA, etc.).
Performs other duties as assigned.